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Premed
Abrasion Scrape of the skin due to something abrasive Acute New, usually of rapid onset and of concern, opposite of chronic (real quick) Ambulate To walk from place to place Anterior Located towards the forward of the body Artery Blood vessel carrying blood away from the heart Benign Normal, of no danger to health Bradycardia Slow heart-rate (HR less than 60bpm) Cardiomegaly Enlarged heart Cholecystitis Inflammation of the cholecyst (gallbladder) Chronic long lasting, constant. Opposite of acute COPD Chronic Obstructive Pulmonary Disease, lung Dz commonly seen in smokers Coronary artery The artery that supplies heart tissue with blood Cerebrovascular Accident (CVA) a.k.a. "Stroke". Lack of blood supply to the brain causing brain damage
Diaphoresis Sweating Distal Farther from the trunk of the body Deep Vein Thrombosis (DVT) A blood clot in a deep vein, most often an extremity Dyspnea Problems with breathing Dysuria Painful urination Ecchymosis A bruise Edema Swelling Emesis Vomiting Epistaxis Nose bleed Erythema/Erythematous Redness/Red Febrile Elevated body temperature, fever, indicative of infection Grossly Obviously; a lot; wholly Hematemesis Very large amounts of blood in the vomit Hematuria Very large amounts of blood in the urine
Myalgia Muscular pain, "muscle aches" Oriented x Oriented to person, place, and time Pallor Pale skin Posterior/Dorsal Rear or backside of the body Proximal Nearer to the trunk of the body Pruritic Itchy Pulmonary Embolism (PE) Blocking of a pulmonary artery due to a blood clot Purulent Pus-like Rales Crackles; wet crackling noise in lungs Rhinorrhea Clear nasal discharge, "runny nose" Rhonchi Rattling noise of mucous in the lungs Sepsis Dangerous infection of the blood STEMI ST elevation MI, real-time ongoing death of heart tissue due to ischemia Superior Higher on the body, nearer to the head
Supine Body position lying face up Syncope "Passing out", loss of consciousness or fainting Tachycardia Fast heart rate (HR greater than 100bpm) Tachypnea Increased breathing rate Transient Ischemic Attack (TIA) Minor stroke; where neurological function is regained quickly with time Vein Blood vessel carrying blood towards the heart Vertigo Condition of dizziness, "room spinning" Wheezing High pitched sound heard in the lungs with asthmatics or lung disease AAA Abdominal Aortic Aneurysm A Fib Atrial Fibrillation Abd Abdomen, Abdominal Abx Antibiotics AMA Against Medical Advice AMS Altered Mental Status
C-spine Cervical spine CSF Cerebrospinal Fluid CVA Cerebrovascular Accident - or- Costovertebral Angle CXR Chest X-Ray c/o Complains of DKA Diabetic Ketoacidosis DM Diabetes Mellitus DNR Do Not Resuscitate DOE Dyspnea On Exertion DVT Deep Venous Thrombosis Dx Diagnosis Dz Disease EKG/ECG Electrocardiogram EtOH Alcohol
FHx Family History Fx Fracture GI Gastrointestinal G/P/Ab Gravida/Para/Abortion GSW Gun Shot Wound GU Genitourinary HA Headache HEENT Head, Eyes, Ears, Nose, Throat HPI History of Present Illness HTN Hypertension Hx History H&H Hemoglobin and Hematocrit H&P History of Present Illness and Physical Exam I&D Incision and Drainage
MVA/MVC
Motor Vehicle Accident/Collision N/A Not Applicable NAD No Acute Distress, No Acute Disease NIDDM Non-Insulin Dependent Diabetes Mellitus NKDA No known Drug Allergies Nml - or- nl Normal NSAID Non Steroidal Anti-Inflammatory Drug NSR Normal Sinus Rhythm NTG Nitroglycerin N/V/D Nausea/Vomiting/Diarrhea O2 Sat Oxygen Saturation (a.k.a. SaO2) OD Overdose PCP Primary Care Physician (a.k.a. PMD) PE Pulmonary Embolism - or- Physical exam
PERRL
Pupils are equal, round, and reactive to light PO Per Os (by mouth) prn As needed pt Patient PTA Prior To Arrival PUD Peptic Ulcer Disease qd Every Day qh Every Hour qhs At Every Bedtime q2h Every 2 Hours QID Four Times a Day RLE Right Lower Extremity RLQ Right Lower Quadrant ROM Range of Motion
URI
Upper Respiratory Infection US Ultrasound UTD Up to Date UTI Urinary Tract Infection WNL Within Normal Limits
